Texas Council on Cardiovascular Disease and Stroke

1. Texas Council on Cardiovascular Disease and Stroke A Decade of Partnership with the American Heart Association for Heart Disease and Stroke Prevention

2. Texas Coalition on CVD and Stroke Created April 8, 1998 to explore ways to reduce the burden from CVD and Stroke. Comprised over 50 organizations throughout the state Coordinated and promoted effective statewide and local initiatives and garnered support for prevention initiatives Worked with the House Public Health Committee to study the effects of CVD and develop legislation

3. Council Members Originally composed of 12 members, now 15 Originally appointed by the Board of Health, 11 now appointed by the Governor Serve staggered six year terms May not receive compensation for service, now may receive travel compensation May receive assistance if poses financial hardship

4. Advisory Committees May appoint one or more advisory committees May appoint one or more consultants

5. Reporting January 15th of each year � report to governor, lieutenant governor and speaker of the house of representatives

6. Main Powers and Duties Develop an effective and resource-efficient plan to reduce burden of CVD and stroke Develop a database of recommendations for appropriate care and treatment of patients with CVD or stroke Shall collect, analyze and maintain a database of information related to CVD and stroke May request and receive information from any other state agency related to these duties; all information confidential under law is confidential

7. Texas Department of State Health Services (formerly Texas Department of Health) 1999: Shall accept appropriated funds Shall allocate those funds Council shall make recommendations on the allocation of those funds No funds allocated! 2001: Requested funding, no funds allocated 2003: Requested funding, no funds allocated 2005: Changed legislative language, no funds allocated

8. 2005 -Working with AHA to make Major Changes in Health and Safety Code and Cardiovascular Disease and Stroke Chapter Identified specific membership appointed by the Governor Allowed travel reimbursement Added Gifts and Grants section Added Heart Disease and Stroke Resource Fund section Added duty of council to advise legislature, develop, submit or comment on legislation Make recommendations to DSHS on stroke rules

9. Legislative Ask - 2007 In 2007 � included a Legislative Appropriations (LAR) Exceptional Item request through the DSHS LAR. Funding request for implementing the Heart and Stroke Healthy City program, education campaigns, data collection, and support. No funding allocated specifically A rider attached that allowed funding for stroke activities if funds available internally.

10. Legislative Ask - 2009 Began in February 2008 to identify the legislative ask from council Determined to ask outside of DSHS LAR Council members met in June with key legislators � told to add to DSHS LAR Met with DSHS and identified the request for LAR Separate line item ask for $4 million for biennium within a Chronic Disease EI which included obesity prevention funding and tobacco prevention funding

11. Developing the 2009 Legislative Ask Legislative Ask Implement Heart and Stroke Healthy City Program locally Continue to implement community health center quality improvement activities Implement stroke education activities Collect, analyze and report heart attack and stroke data

12. Council Activities January � December 2008 Feb. 2008 - Council developed Ask June 2008 - Council met with key legislators June 2008 � Council met with DSHS August 2008 � Council Ask in DSHS LAR Sept. 2008 � AHA training to council on Advocacy

13. Council Activities January � June 2009 Feb. 2009 � Council and AHA identified key legislators to approach Council ask added to Texas Public Health Coalition and AHA ask Council member provided testimony at Legislative Budget Board DSHS LAR hearing Council members provided testimony at Legislative Public Health and Appropriation Committee hearings Council members made specific contacts with key legislator offices

14. American Heart Association, Southcentral Affiliate Sept 2008 � Trained Council members January � June 2009: Sent a dozen Grassroot Alert messages Conducted four onsite Lobby Days Had Executive V.P. conduct two onsite lobby visits Coordinated activity among council members to include providing testimony, phone calls, and letters of support AHA Advocacy Team, with hired consultants, provided daily visits, monitored budget process and lobbied budget committee members, governor, lieutenant governor and speaker of house.

15. 2009 Results � Funded!!!! Funding request went from $4 million to $2 million Funding request was settled at $1 million for 2010-2011 biennium Part of overall Chronic Disease Exceptional Item request � Obesity prevention and CVD and stroke prevention

16. Contact: Jennifer Smith, M.S.H.P. Manager, Adult Health and Chronic Disease Branch Texas Department of State Health Services � T402 1100 W. 49th, Austin, Texas 78756 512-458-7111 x2209 512-458-7254 FAX Joel Romo Regional Vice President of Advocacy - Texas American Heart Association � South Central Affiliate Phone: 512-433-7163 Cell: 512-423-1598 1700 Rutherford Lane Austin, TX 78761-5186 Email: Joel.Romo@heart.org